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Washington rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.49 / $1,261.39 / $2,177.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.14 / $1,943.98 / $6,882.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.29 / $1,698.79 / $2,821.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.47 / $1,464.67 / $2,967.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.07 / $969.32 / $1,892.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.14 / $1,674.90 / $2,350.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.83 / $1,585.61 / $2,178.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.40 / $1,976.40 / $2,706.30